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Medsurg exam 2 cheat sheet hematology
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READ THIS WEDNESDAY NIGHT + THURSDAY MORNING This is your bare-minimum mental load to walk into the exam.
Podagra (great toe), uric acid > Synovial aspiration = dx (rules out septic) Acute: colchicine, NSAIDs, steroids Maintenance: allopurinol, probenecid AVOID aspirin
Deer tick, bull's-eye rash 2-step: EIA + Western Blot (BOTH +) Doxy (amox if pregnant) Late โ carditis, Bell's palsy, arthritis
Type III hypersensitivity. ANA + (97%) Butterfly rash, lupus nephritis = priority Drug-induced = PHI (Procainamide, Hydralazine, INH) Hydroxychloroquine โ annual eye exam No live vaccines on steroids
Dx of exclusion, allodynia Pregabalin (Lyrica) = FDA Gentle exercise = THERAPY (not rest) Not inflammatory; normal labs Musculoskeletal & Hematologic Systems 50 Q ยท 1.5 min/q ยท 40% Week 4 (M/S) + 60% Weeks 5โ6 (Heme) Overview Week 4 (M/S) Weeks 5โ6 (Heme) Flashcards NCLEX Quiz
Cauda equina: saddle anesthesia + bladder/bowel = EMERGENCY No long bed rest Bend KNEES not waist
Oral iron + Vit C, between meals Dark stools = normal, expect constipation Use straw (liquid) IM = Z-track. IV = test dose
B12 โ NEURO symptoms (paresthesia, ataxia) Pernicious = no IF โ injection LIFELONG Folate = no neuro; pregnancy, alcoholism
FEVER = EMERGENCY (no spleen) Oโ + hydration + opioids + WARM (not cold!) Hydroxyurea = โ fetal Hgb
Day 5โ14 heparin, platelets drop >50% STOP ALL HEPARIN (including flushes!) Switch to argatroban / bivalirudin Can clot AND bleed
โ platelets, โ fibrinogen, โ PT/PTT, โโ D-dimer Bleeds AND clots Treat the cause
Hodgkin's = Reed-Sternberg, predictable, 85% cured NH = no hallmark, widespread at dx B-symptoms = worse prognosis
18โ20 g IV, NS ONLY 2 RN verify, stay first 15 min Complete in 4 hr Universal donor: Oโ. Recipient: AB+
ABO mismatch โ flank pain, dark urine, doom STOP transfusion FIRST New tubing + NS to keep IV open
TACO: overload โ HTN + JVD + crackles โ diuretics TRALI: lung injury โ hypotension + frothy sputum โ #1 cause of death